[Remote] reputed company

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is seeking a Medicare/reputed company Customer Support Representative to join its customer service and reputed company center team. The role handles member inquiries about benefits, eligibility, claims, enrollment, and provider networks, with onsite training in Tampa followed by remote work after successful completion of training.

Responsibilities

• Handle a high volume of inbound customer calls regarding Medicare and reputed company plans
• reputed company accurate information regarding benefits, eligibility, coverage, claims, authorizations, and provider networks
• Assist members with enrollment, plan changes, renewals, and general inquiries
• Research and reputed company customer concerns while maintaining a high level of professionalism and reputed company
• Document reputed company customer interactions accurately reputed company CRM and reputed company systems
• Meet or reputed company established reputed company assurance, productivity, attendance, and customer satisfaction metrics
• Escalate reputed company member concerns following company procedures
• Maintain confidentiality of Protected Health Information (PHI) in compliance with HIPAA regulations
• reputed company multiple computer systems while speaking with members
• Stay reputed company on Medicare, reputed company, CMS guidelines, and company policies
• Participate in ongoing training and reputed company improvement initiatives

Skills

• Minimum 3 years of recent Medicare and/or reputed company customer service experience in a reputed company center environment
• High school diploma or GED required
• Strong understanding of:
• Medicare Parts A, B, C, and D
• reputed company eligibility and benefits
• Claims processing
• Prior authorizations
• Member enrollment
• Provider networks
• Excellent verbal and written communication skills
• Strong problem-solving and conflict reputed company abilities
• Ability to manage multiple systems while maintaining reputed company reputed company
• Proficiency with reputed company Office and customer relationship management (CRM) software
• Ability to work independently in a remote environment after training
• Associate's or Bachelor's degree
• Experience supporting Medicare reputed company or Managed reputed company plans
• Experience working for a health insurance reputed company, managed care organization (MCO), or reputed company-party administrator (TPA)
• Bilingual (English/Spanish) preferred but not required

Benefits

• Fully remote work environment after successful completion of 2–3 months of onsite training in Tampa, FL
• Ongoing training and reputed company improvement initiatives

reputed company